POOR HOME AND ENVIRONMENTAL SANITATION COMMUNITY HEALTH NURSING PROBLEM PROBLEM Poor home and environmental sanitation
I. Inability to provide a home environment conducive for health maintenance and personal development due to: a. Inadequate family resources specifically limited physical resources b. Failure to perceive importance of conducive home environment for health maintenance and personal development c. Failure to perceive need of home and environment improvement d. Lack of knowledge of importance of hygiene and sanitation II. Inadequate knowledge of preventive measures III. Lack of skill in carrying out measures to improve home environment Objective: Majority of the families in the community raise livestock. Unclean coop and pig pen can be breeding sites of vectors of disease. Subjective: Ara lang da ang manok garibot sa balay e. Ang tangkal ka baboy ra man lang da sagwa balay. Wala naman ja natinluan kay raku ulubrahon sa balay kg baboy man ran da. Wala gid problema kung higko da a. May ara man kami kanding da e. Ra man lang da sagwa garagaw sa taramnan. CUES
OBJECTIVES OF CARE Within 3 weeks of community immersion, the community people will be able to:
NURSING ACTION PLAN Assess the community people salience of the problem
TARGET DATE AND TIME During home visits and culminating activity: 1. Home Visits July 29, 2011 (3:00 p.m. -6:00
PERSONS RESPONSIBLE 15 student nurses
1 clinical
BUDGET/ RESOURCES/ LOGISTICS Presence, time and effort of the student nurses
EVALUTAION
At the end of 3 weeks of community immersion, the community people was able to verbalize problems concerning home and environmental sanitation such as unclean coop and pigpen, roaming livestock in the house and yard; give ways to improve proper hygiene sanitation such as cleaning the coop and pigpen and putting the chickens in the coop; identify the benefits and advantages of proper hygiene and sanitation such as safe and clean
instructor Community people
1. Verbalize problems concerning home and environmental sanitation such as unclean coop and pigpen.
Discuss the advantages or benefits of proper hygiene sanitation
p.m.)
August 4, 2011
(3:00 p.m. -5:00 p.m.)
August 5, 2011
(3:00 p.m. -5:00 Encourage facilities to practice proper sanitation measures by p.m.)
August 10, 2011
(3:00 p.m. -5:00 p.m.)
2. Give ways to improve proper hygiene sanitation such as cleaning the coop and pigpen.
cleaning their home surroundings as well as maintaining hygienic measures with themselves
August 11, 2011
environment and disease prevention; verbalize consequences of improper hygiene practices such as
(8:00 a.m. -10:00 a.m.)
2. Culminating
occurrence of health and accidents; and was able to give alternative ways to improve home environment with no expense such as regular cleaning of the house and yard including the coop and pigpen.
Activity (August 12, 2011; 8:00
Provide health 3. Identify the benefits and advantages of proper hygiene and sanitation. teachings regarding consequences of improper hygiene measures
a.m. 11:00 a.m.)
4. Verbalize consequences of improper
hygiene practices.
5. Give alternative ways to improve home environment with no or less expenses. Recommendation: Endorse to the next group of community student nurses to monitor if the families were able to comply with the health teachings given regarding environmental sanitation.
UNSAFE WATER SUPPLY AND STORAGE COMMUNITY HEALTH NURSING PROBLEM PROBLEM CUES
Unsafe water supply and storage
I.
Inability to recognize the presence of a health condition due to:
Subjective: Nakuha namon amon tubig para magpaligo kag mag inom sa bumba. Wala na namon ginapabukalan amon tubig nga ilimnon. Na inom na lang namun.
a. Inadequate knowledge on proper storage and
utilization of water
b. Failure to perceive problem in water supply and
storage
II. Inability to provide a h6ome environment conducive for
Objective: Uncovered water containers were used to store their water supply.
health maintenance and personal development due to:
a. Inadequate family resources specifically limited
physical resources in providing proper water storage equipment
OBJECTIVES OF CARE Within 3 weeks of
NURSING ACTION PLAN Provide
TARGET DATE AND TIME During home visits and
PERSONS RESPONSIBLE 15 student
BUDGET/ RESOURCES/ LOGISTICS Presence,
EVALUTAION
At the end of 3 weeks of
community immersion, the community people will be able to:
supplemental instructions about the importance of using potable and
culminating activity: 1. Home Visits July 29, 2011 (3:00 p.m. -6:00 p.m.)
August 4, 2011
nurses 1 clinical instructor Community people
time and effort of the student nurses Pamphlets on amoebiasis Prizes for games on amoebiasis
community immersion, the community people was able to identify presence of health condition which is unsafe water supply and storage; explain the importance of maintaining the utilization of a safe water supply; identify the proper sterilization technique and enumerate the various health consequences brought about drinking unsafe water such as acquiring diseases like amoebiasis.
1.
Identify
safe water.
Give a lecture on
presence of health condition. 2. Explain
how to prevent diseases such as Amoebiasis. Review on the proper sterilization technique Assess learning through evaluation and asking of questions related to the importance
(3:00 p.m. -5:00 p.m.)
August 5, 2011
the importance of maintaining the utilization of a safe water supply 3. Identify
(3:00 p.m. -5:00 p.m.)
August 10, 2011
(3:00 p.m. -5:00 p.m.)
August 11, 2011
the proper sterilization technique. 4. Enumera
(8:00 a.m. -10:00 a.m.)
te the various health consequences brought about drinking unsafe water. Recommendation:
of using potable and safe water and its subsequent consequences. 2. Culminating Activity (August 12, 2011; 8:00 a.m. 11:00 a.m.)
Reinforce to the community people the importance of boiling water and using clean containers in storing their drinking water. Endorse to the next group of community student nurses to evaluate if the community people were able to practice proper sterilization technique and storage of drinking water.
IMPROPER DRAINAGE SYSTEM COMMUNITY HEALTH NURSING PROBLEM PROBLEM Improper drainage system
I.
CUES Subjective:
Inability to recognize the presence of a health threat
due to:
a. Inadequate knowledge on the importance of proper
Da man lang ga ilig ang tubig sa darum e. Okay man lang na da ang iligan ka tubig. Dugay na nga amoh na ang iligan ka tubig namun e. Wala man kami na ano da. Objective: Majority of the families are using the open drainage system. Stagnant water can be breeding sites of vectors of diseases.
drainage system
b. Failure to perceive problem in drainage system. II. Inability to make decisions with respect to taking
appropriate health action due to: a. b. Failure to comprehend the nature of the problem Low salience on the problem
OBJECTIVES OF CARE Within 3 weeks of community immersion,
NURSING ACTION PLAN Conduct home visits and ask
TARGET DATE AND TIME During home visits and culminating activity:
PERSONS RESPONSIBLE 15 student nurses
BUDGET/ RESOURCES/ LOGISTICS Presence, time and effort
EVALUTAION
At the end of 3 weeks of community immersion, the
the community people will be able to:
questions about the problem Give a lecture
1. Home Visits July 29, 2011 (3:00 p.m. -6:00 p.m.)
August 4, 2011
1 clinical instructor Community people
of the student nurses Pamphlets on amoebiasis Prizes for games on amoebiasis
community people was able to identify presence of health threat; verbalize factors that hinders modification of the problem such as inadequate family monthly income to include repair of proper drainage system and low salience on the problem; enumerate the benefits of having a proper drainage system such as the destruction of breeding sites of vectors and verbalize the importance of having a proper drainage system.
1.
Identify
about Amoebiasis Assess learning through asking questions related to the importance of having a proper drainage system
presence of health threat. 2. Verbalize
(3:00 p.m. -5:00 p.m.)
August 5, 2011
factors that hinders modification of the problem 3. Enumera
(3:00 p.m. -5:00 p.m.)
August 10, 2011
(3:00 p.m. -5:00 p.m.)
August 11, 2011
te the benefits of having a proper drainage system 4. Verbalize
(8:00 a.m. -10:00 a.m.)
the importance of
having a proper drainage system
2. Culminating Activity (August 12, 2011; 8:00 a.m. 11:00 a.m.)
Recommendation: Inform the barangay officials of the existence of the problem and its effects to the people in the community so that proper actions and interventions may be provided.
POOR PERSONAL HYGIENE COMMUNITY HEALTH NURSING PROBLEM PROBLEM Poor personal hygiene I. Inability to provide a home environment conducive for health maintenance and personal development due to: a. Inadequate family resources specifically limited Subjective: Wala ko ga tooth brush na a. Gapangarimog lang ko tubig. CUES
physical resources b. Lack of knowledge of importance of hygiene and sanitation
II.
Kung malao ang alagyan wala ko nagatsinelas kay naga kabitas.
Inability to make decisions with respect to taking appropriate health action due to:
Objective: Both adults and children wear slippers but their feet are still full of mud. The path to their houses is rocky and muddy. Water seepages from the rice field flows into the pathway.
Failure to comprehend the nature of the problem b. Low salience on the problem
OBJECTIVES OF CARE Within 3 weeks of community immersion,
NURSING ACTION PLAN Discuss with the family the benefits
TARGET DATE AND TIME During home visits and culminating activity:
PERSONS RESPONSIBLE 15 student nurses
BUDGET/ RESOURCES/ LOGISTICS Presence, time and effort
EVALUTAION
At the end of 3 weeks of community immersion, the
the community people will be able to:
of good hygiene Demonstrate principles on
1. Home Visits July 29, 2011 (3:00 p.m. -6:00 p.m.)
August 4, 2011
1 clinical instructor Community people
of the student nurses Pamphlets on amoebiasis Prizes for games on amoebiasis
community people was able to recognize the importance of proper hygiene and demonstrate normal health maintenance to prevent infections and diseases such as proper hand washing. .
1.
Recogniz
proper hygiene such as washing hands, brushing teeth, and wearing of slippers.
e the importance of proper hygiene
2.
(3:00 p.m. -5:00 p.m.)
August 5, 2011
Demonst
rate normal health maintenance to prevent infections and diseases
(3:00 p.m. -5:00 p.m.)
August 10, 2011
(3:00 p.m. -5:00 p.m.)
August 11, 2011
(8:00 a.m. -10:00 a.m.)
2. Culminating Activity (August 12, 2011; 8:00 a.m. 11:00 a.m.) Recommendation: Suggest the families especially the children and parents who are role models, to practice proper hand washing at all times especially before eating after toileting and after handling secretions and other dirty objects. Also encourage the family to trim their nails every week, brush at least twice a day, take a bath with clean water at least once a day and wear slippers at all times.
PRESENCE OF BREEDING SITES OF VECTORS OF DISEASES COMMUNITY HEALTH NURSING PROBLEM PROBLEM Presence of breeding sites of vectors of diseases a.
I.
CUES Subjective: Dugay na nga amoh na ang iligan ka tubig namun e. Wala man kami na ano da. Ara lang da tubigan namun. Wala na namun natakluban.
Inability to recognize presence of breeding sites of vectors of diseases around the house due to: Lack of knowledge about the breeding sites of vectors of diseases like Aedis Aegypti (Dengue) and Aedes Poecilus (Filariasis).
b.
Denial about the existence of breeding sites around the house
Huo e, nakagat man sang lamok e. Naga muskitero lang kami kung gabi. Wala kami kwarta pa simintohon da sagwa. Kung tampukan ka duta ga kuha man gypon kung mag ulan.
II.
Inability to make decision with taking appropriate actions to eliminate the presence of breeding sites for vectors among the residents houses due to:
a.
Failure to perceive and understand the consequences of persistence of breeding sites for vectors in the area. Objective: Presence of stagnant water around the house. Dirty areas around and within the house.
b.
Lack of knowledge as to the alternative courses of action to eliminate the presence of breeding sites
c.
Misconception about proposed course of action to manage the breeding sites
IV. Inability to provide a home environment conducive for health maintenance and personal development due to: a. Inadequate family resources specifically limited physical resources b. Failure to perceive importance of conducive home environment for health maintenance and personal
development c. Failure to perceive need of home and environment improvement
OBJECTIVES OF CARE Within 3 weeks of community immersion, the community people will be able to:
NURSING ACTION PLAN Describe the effects of cleaning up the surroundings, discarding unused
TARGET DATE AND TIME During home visits and culminating activity: 1. Home Visits July 29, 2011 (3:00 p.m. -6:00 p.m.)
PERSONS RESPONSIBLE 15 student nurses 1 clinical instructor Community people
BUDGET/ RESOURCES/ LOGISTICS Presence, time and effort of the student nurses
EVALUTAION
At the end of 3 weeks of community immersion, the community people was able to verbalize the importance of eliminating breeding sites for vectors; identify practices that
1.
Verbalize
tires, bottles and
the importance of eliminating breeding sites for vectors 2. Identify
covering drums or containers filled with water. Explain the 4 Oclock habit in prevention of dengue
Assist in cleaning
August 4, 2011
are conducive to eliminate the persistence of breeding sites such as the 4 oclock habit and closing water containers and recognize the magnitude of the problem.
(3:00 p.m. -5:00 p.m.)
August 5, 2011
(3:00 p.m. -5:00 p.m.)
August 10, 2011
practices that are conducive to eliminate the persistence of breeding sites 3. Recogniz
(3:00 p.m. -5:00 p.m.)
August 11, 2011
tha surroundings by discarding unused rubber tires, empty bottles and cans, trimming banana trees, gabi plants and pandan, changing the water inside vases at
(8:00 a.m. -10:00 a.m.)
e the magnitude of the problem
2. Culminating Activity (August 12, 2011; 8:00 a.m. 11:00 a.m.)
least once a week keeping water containers covered and avoiding too many clothes hanging inside the house. Discuss to the community the cases of diseases brought about by mosquitoes 9such as Dengue Hemorrhagic Fever, Malaria and Filariasis) as well as its signs and
symptoms and complications.
Recommendation: Encourage the community members to avoid hoarding rubber tires, empty bottles and cans especially now that it is rainy season, cover pails and drums filled with water, trim plants like gabi, banana and pandan, use mosquito nets and pajamas and avoid hanging clothes inside the house. Suggest having a cleaning drive at least once a week to help the residents awareness of their surroundings.
